Fill - Free fillable Minor Child (Indiana Legal Help) PDF form

Page 1 of 3 Approved by the Coalition for Court Access

CCA-GF-1220-3014

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STATE OF INDIANA IN THE __________________ ______________ COURT

COUNTY OF _________________ CASE NO. ________________________________

IN RE THE __________________ OF:

__________________________

Minor Child

__________________________

Petitioner,

v.

__________________________

Respondent.

APPEARANCE BY UNREPRESENTED PERSON

1. My name is _________________________________ and in this case I am not represented

by a lawyer.

2. My contact information for receiving legal service of documents and case information as

required by Court Rules is:

Address:

Email address:

☐ I will accept service at the above email address.

Phone:

Fax:

OR, if in a related case, you have used the Attorney General confidential address, you may

check the box below:

☐ Attorney General confidential address

3. This is a ________ case type as defined in Administrative Rule 8(B)(3).

4. There are other cases related to this case: (If yes, please indicate below)

☐ Yes

☐ No

__________________

________________

Page 2 of 3 Approved by the Coalition for Court Access

CCA-GF-1220-3014

www.indianalegalhelp.org

Caption and case number of related cases:

Caption: Case No.:

Additional information as required by local rule:

Signature

CERTIFICATE OF SERVICE

I hereby certify that I sent a copy of this document on ________________________ by

☐ e-service using the e-filing system

☐ first-class U.S. mail, postage prepaid

☐ hand delivery

to _____________________________________ at the following address:

______________________________

Signature

Page 3 of 3 Approved by the Coalition for Court Access

CCA-GF-1220-3014

www.indianalegalhelp.org

STATE OF INDIANA IN THE __________________ ______________ COURT

COUNTY OF _________________ CASE NO. ________________________________

IN RE THE ___________________ OF:

__________________________

Minor Child

__________________________

Petitioner,

v.

__________________________

Respondent.

NOT FOR PUBLIC ACCESS

IN ACCORDANCE WITH INDIANA RULES ON

ACCESS TO COURT RECORDS

ATTENTION CLERK: FOR SELF REPRESENTED LITIGANTS TREAT THIS FORM AS

IF IT IS PRINTED ON LIGHT GREEN PAPER

CIVIL APPEARANCE FORM

Social security numbers of parents and minor child

Name: SS#

NOT FOR PUBLIC ACCESS

__________________

________________

Page 1 of 2 Approved by the Coalition for Court Access

CCA-DC-1220-1060

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STATE OF INDIANA IN THE ________________ _______________ COURT

COUNTY OF _______________ CASE NO. ___________________________________

IN RE THE _________________OF:

____________________________

Minor Child (Paternity Only)

____________________________

Petitioner,

v.

____________________________

Respondent

VERIFIED PETITION TO MODIFY PARENTING TIME WITHOUT AGREEMENT

_________________________________, self represented, files a Verified Petition To

Modify Parenting Time Without Agreement and states in support as follows:

1. The parties’:

☐ Divorce Decree is dated ___________________.

☐ Decree Establishing Paternity is dated ___________________.

☐ parenting time rights were established without a divorce or paternity decree,

and this court has previously ordered parenting time between the above named

parties.

2. The minor child(ren) is/are named:

_____________________________________________________________________________

and ________________________________ has been ordered to pay child support in the amount

of $_____________________ per week.

3. The last order on parenting time is dated ____________________ and

_________________________________ has primary physical custody of the minor child(ren).

4. The last order on parenting time states that parenting time shall be as follows:

______________________________________________________________________________

5. A change in parenting time is in the best interest of the child(ren).

__________________

________________

Page 2 of 2 Approved by the Coalition for Court Access

CCA-DC-1220-1060

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6. I am asking the Court to hold a hearing and to enter a parenting time order:

☐ in accordance with the Indiana Parenting Time Guidelines OR

☐ as follows:

______________________________________________________________________________

WHEREFORE the undersigned prays that the Court set this matter for hearing, that the

Court modify the parenting time as requested, and for all other just and proper relief.

I affirm under penalties for perjury that the foregoing representations and statements

are true.

Date: _____________________________ ____________________________________

Signature

__________________________________

Printed Name

CERTIFICATE OF SERVICE

I hereby certify that I sent a copy of this document on ________________________ by

☐ e-service using the e-filing system

☐ first-class U.S. mail, postage prepaid

☐ hand delivery

to _____________________________________ at the following address:

______________________________

Signature

Page 1 of 1 Approved by the Coalition for Court Access

CCA-DC-1220-1061

www.indianalegalhelp.org

STATE OF INDIANA IN THE __________________ _______________ COURT

COUNTY OF _________________ CASE NO. ____________________________________

IN RE THE ___________________ OF:

_____________________________

Minor Child (Paternity Only)

_____________________________

Petitioner,

v.

_____________________________

Respondent

ORDER SETTING HEARING

Comes now _____________________________________, self represented, having filed a

Verified Petition To Modify Parenting Time Without Agreement, and the Court finds that the matter

should be set for hearing.

IT IS THEREFORE ORDERED that this matter shall be heard on

__________________________________________________________________________________.

_____________________________________

Judicial Officer

Distribution:

_________________________________ ___________________________________

__________________

________________

Page 1 of 1 Approved by the Coalition for Court Access

CCA-DC-1220-1062

www.indianalegalhelp.org

STATE OF INDIANA IN THE ______________ _______________ COURT

COUNTY OF _________________ CASE NO. _________________________________

IN RE THE _________________OF:

____________________________

Minor Child (Paternity Only)

____________________________

Petitioner,

v.

____________________________

Respondent

ORDER MODIFYING PARENTING TIME

The Court, having reviewed the Verified Petition to Modify Parenting Time Without

Agreement, now enters the following order:

1. ________________________ filed a Verified Petition to Modify Parenting Time on

_____________________________.

2. The Court set this matter for hearing, and __________________________ appeared

in person and self represented/with counsel and ____________________________ appeared self

represented/with counsel. Evidence was heard and concluded.

3. _____________________________:

☐ shall have parenting time in accordance with the Indiana Parenting Time Guidelines OR

☐ a deviation from the Indiana Parenting Time Guidelines is warranted and parenting

time shall be as follows:

_______________________________________________________________________________

_________________________________________________________________________

SO ORDERED _______________________________________________.

__________________________________________

Judicial Officer

Distribution to:

______________________________ _______________________________

__________________

________________

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Fillable Minor Child (Indiana Legal Help)

Fill Online, Printable, Fillable, Blank Minor Child (Indiana Legal Help) Form

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